Kimberly Ann Kernehan, MS-CAT, CASAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Alexandria Bay, NY
NPI 1376904649 · NPPES record last updated Mar 15, 2016
Key facts
- NPI
- 1376904649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 32047 (NY)
- Practice address
- 4 Fuller St
Alexandria Bay, NY 13607-1316 - Phone
- (315) 482-1290
- NPI assigned
- Mar 15, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32047 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 32047 | NY | Yes |
Addresses
Primary practice location
4 Fuller St
Alexandria Bay, NY 13607-1316
Mailing address
164 Dennison Rd
Massena, NY 13662-3223
Phone (315) 482-1290
Other providers in Alexandria Bay, NY
- Shelby Gonsalves
- Abbie Dolores Hannigan
- Gabriella Haycock
- Michael Hohs
- Jeralee Jobson
- Robert J Kline
- Jade Kool
- KPH Healthcare Services, Inc.
- Stephanie Gail Lacrone
- Lynnette Nate' Lessley
All providers in Alexandria Bay, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.